Product Data Sheet

TomoTherapy
®

Hi Art System
®
·

The TomoTherapy Hi·Art treatment system incorporates unique design features that
combine to deliver highly conformal radiation therapy guided by a specialized multileaf
collimator (MLC). Four key advantages include:
• Complete system integration • Helical pattern delivery
• CTrue™ imaging technology • Discrete-angle, sliding beam delivery (optional)

At the heart of the Hi·Art treatment system is a common database that facilitates the entire
therapy process from planning to treatments to archive. The central database facilitates:
• Fast CT-guided dose targeting • Effective adaptive planning
• Precise treatment delivery • Easy treatment planning for common and complex cases

The Hi·Art treatment system creates verification CTrue images using low-intensity
megavoltage X-rays from the same linear accelerator used to treat the patient. This
allows clinicians to take an MVCT scan immediately prior to any treatment fraction
to verify the patient’s anatomy and position as compared to the original treatment plan,
and adjust as necessary.

Radiation delivery is aided by a sophisticated MLC. This patented

device opens and closes quickly to permit (or block) the
passage of radiation, dividing the radiation beam into
many smaller beams. The pattern of movement is precisely
calculated before treatment begins, so the intensity of the
radiation beam delivered conforms to the patient’s tumor and helps avoid critical
structures as the machine rotates 360 degrees around the patient.
Product
architecture
The TomoTherapy Hi·Art treatment
system consists of the following
completely integrated components:
• A linear accelerator and CT
detector subsystem mounted to
a rotating gantry
• A High Performance patient couch
used to move the patient through
the rotating gantry
• A laser positioning system to
facilitate initial patient placement
on the couch and to guide position
modification, if necessary,
after MVCT registration
• A Planning Station where CT
acquisition and structure definition
data are used to prescribe a treatment
and where optimized treatment plans
are evaluated and saved
• An Operator Station where MVCT
acquisitions, patient positioning and
treatments can be controlled
• A Status Console with a key switch
to select procedure type, a start
button, stop/emergency stop
buttons, and status indicators
• A shared database server, containing
patient and machine data used by
the entire system
• A computer cluster utilizing
dedicated hardware to perform plan
optimization and dose calculations
• Tape backup system for the database
Total integration
Product features available from the
Planning Station
The TomoTherapy Hi·Art Planning Planned dose deposition
Station allows the user to optimize is calculated using a collapsed-cone
a treatment plan. convolution superposition technique
that addresses three dimensional scatter
CT image import from
and inhomogeneties. This is applied for
DICOM compatible systems
both optimization and final dose calculations.
The system implements DICOM
Three-dimensional dose distributions
CT Image Storage as an SCP
displayed on orthogonal 2D planes, and
(service class provider).
dose-volume histograms (DVHs) are
RT Structure Set import from available to the user as analysis tools to
DICOM compatible systems either accept or modify and re-optimize
The system implements DICOM RT the planned dose.
Structure Set Storage as an SCP,
Integrated treatment quality
allowing import of RT Structure Set
assurance tools
objects (ROI information) from CT simu-
Delivery QA (DQA) is fully integrated
lation systems or treatment
into the planning software to allow
planning systems implementing DICOM
seamless calculation of planned dose into
RT Structure Set Storage as an SCU
a phantom. The DQA plan can then be
(service class user).
selected and delivered from the Operator
Structure modification Station and compared with point dose
Imported structure definitions can be and film measured in the phantom.
modified using simple 2D contouring
Hardcopy patient plan record
tools. This feature is not intended as a
A printed record of the planned treatment,
primary tool for structure definition,
as well as a summary of the treatment’s
but rather as a means of making corrections
execution, can be created by authorized
to previously contoured structures.
users from within the TomoTherapy
Prescription and constraint Hi·Art software.
definition
MVCT export to DICOM
A prescription can be defined for the
compatible systems
treatment, and dose constraints and
The system provides export of MVCT
objectives for both regions at risk (RARs)
data sets by implementing DICOM CT
and targets can also be defined. These
Image Storage as an SCU.
constraints and objectives are then used
as input for optimized dose calculations. Treatment data archiving
A fractionation schedule for the treatment Use your existing IT infrastructure to store
delivery can also be prescribed. your data or use an industry-standard
Dose calculation and optimization
storage device (DVD) to archive patient
data as patients complete their treatments.
for conformal therapy and
conformal avoidance IG/IMRT TomoDirect™
Following definition of prescription or TomoHelical™ planning
and constraints, the TomoTherapy Create plans using discrete-angle or
Hi·Art treatment system optimizer helical beam delivery from the same
calculates the collimator leaf delivery planning system. (TomoDirect
pattern (treatment sinogram) that most is an optional feature.)
closely meets the prescribed constraints
(in many cases the constraint and objective
requirements may be met or surpassed).
Product features available from the
Operator Station
The TomoTherapy Hi·Art Operator
Station, located just outside the treatment
room, allows the machine operator to
control and monitor the administration
of a Hi·Art radiation treatment.
The following features are available
on the Operator Station:
Verification MVCT acquisition
Prior to or following treatment, a spiral
MVCT data set can be acquired using
the TomoTherapy machine’s linear accelerator
as the radiation source, providing a
low-intensity megavoltage beam.
Images are displayed as they are
acquired and reconstructed.
Set-up verification using
image registration
MVCT acquisitions can be correlated
with a previously acquired treatment
planning CT image set to determine the
repositioning adjustments for the patient.
Registration can be performed automatically,
then manual corrections can be applied
to the initial estimate using CT data,
structure contours, and dose overlays
as a guide. These adjustments can then
be applied by repositioning the patient,
moving the couch prior to treatment
(as indicated by the laser positioning
system), and/or adjusting the gantry
start angle.
Simplifying
radiation therapy through
total system integration
TomoHelical CRT
or IG/IMRT delivery
Image guided, intensity-modulated
radiation therapy (IG-IMRT) – or 3D
conformal radiation therapy (3D CRT)
is delivered to the patient using the
Hi·Art system’s multileaf collimator.
TomoDirect 3D CRT
or IG/IMRT delivery
Available as an option for Hi·Art system,
TomoDirect technology enables efficient
discrete-angle delivery with continuous
couch motion.
MVCT export to DICOM
compatible systems
The system provides export of MVCT
data sets by implementing DICOM CT
Image Storage as an SCU.
Machine calibration and quality
assurance protocols
Calibration protocols are supplied,
facilitating quality assurance of
detector resolution, image set densities,
linac output, and dose calculation.
Hard copy patient
treatment record
A printed record of the performed
treatment details can be created by
authorized users from within the
TomoTherapy Hi·Art software.
Treatment data archiving
An industry-standard storage device (DVD)
is available to archive patient data, as
patients complete their treatments.
 Physical Characteristics
Mechanical Features
S P E C I F I C AT I O N PERFORMANCE
Gantry
Direction of rotation Clockwise viewed from the foot of the couch
Rotational angle accuracy Within 0.5 degrees
Target to axis distance 85 cm
Mechanical isocenter stability <0.4 mm
Isocenter height 113 cm typical (dependent upon finished flooring)
Cooling Integrated onboard cooling system

Photon Beam
S P E C I F I C AT I O N PERFORMANCE
Accelerator type Standing Wave (0.3 meters)
Microwave power 2.5 MW (magnetron)
Redefined Nominal dose rate**
Nominal energy**
850 cGy/min
6 MV, single energy
accuracy Field size range at isocenter Selectable
1.0 cm x 0.625 cm to 1.0 cm x 40 cm
2.5 cm x 0.625 cm to 2.5 cm x 40 cm
5.0 cm x 0.625 cm to 5.0 cm x 40 cm
Treatment Maximum radiation field length 150 cm with Couch at height of isocenter plane
Treatment volume - TomoHelical 80 cm (transverse diameter) x 135 cm (longitudinal)
flexibility
Treatment volume - TomoDirect
for typical patient set-up*
40 cm (transverse diameter) x 135 cm (longitudinal)
for typical patient set-up* (TomoDirect is an optional feature)
Average MLC leakage 0.25% (typical)
Efficient Collimation
throughput S P E C I F I C AT I O N
Jaw collimation
PERFORMANCE

Travel range 1.0 cm to 5.0 cm treatment field width at isocenter

Axis of travel IEC-y (longitudinal)
Unmatched Basic dimensional description 13.5 cm tungsten thickness
Multileaf collimation
experience Number of leaves 64 binary interlaced leaves (tongue and groove side profile)
Basic dimensional description 10 cm leaf thickness in beam direction
Axis of travel IEC-y (longitudinal)
Speed of travel Binary leaf state changed within 20 msec
Resolution 0.625 cm leaf widths in IEC-x (transverse)
direction at isocenter
Leaf drive mechanism Pneumatic

CTrue™ Imaging
S P E C I F I C AT I O N PERFORMANCE
Geometry Fan-beam
Dose per MVCT image (typical) 0.5 - 3 cGy depending on resolution and body thickness
Image resolution (xy) 512 x 512 (0.78 mm pixels)
Slice spacing available 2 mm, 4 mm, 6 mm
Scan time Typically 2 minutes per 10 cm length at 4 mm slice spacing
Field of view (FOV) 40 cm diameter
Source to detector distance 145 cm
Spatial resolution Nominal 0.5 lp/mm at 10% MTF
Contrast resolution 2% density for 2 cm object (typical)
Image guidance mode Daily 3D MVCT matched with 3D kVCT
* Actual treatment volumes are variable depending upon Couch height. Volume measures based upon single set-up, without field matching.
** Performance based on 5 cm field size at SSD=85 cm.

TomoTherapy Inc. reserves the right to make changes in specifications and/or to discontinue any product at any time
without notice or obligation and will not be liable for any consequences resulting from the use of this publication.

©2011 TomoTherapy Incorporated. All rights reserved. The following marks as used herein in italicized or stylized
text are among trademarks, service marks or registered trademarks of TomoTherapy Incorporated in the United
States and other countries: TomoTherapy, Tomo, TomoDirect, TomoHelical, TomoHD, TomoMobile, TQA, Hi·Art, Cert no. BV-COC-963674

and the TomoTherapy logo. M-BDL-001-0211

www.TomoTherapy.com
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